SANTIAGO CANYON COLLEGE NPI 1386915593

NPI Information

SANTIAGO CANYON COLLEGE is an adult medicine family medicine in Orange, CA. The provider is definition to come. SANTIAGO CANYON COLLEGE NPI is 1386915593. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Student Health And Wellness Center.

The provider's business location address is:

8045 EAST CHAPMAN AVE
BUILDING T - 102 STUDENT HEALTH
ORANGE, CA
ZIP 92869-773
Phone: (714) 628-4773
Fax: (714) 628-4749

The provider's authorized official is Renee E. Yocam .
The authorized official title is College Physician and has the following contact phone number (714) 628-4773.

The CLIA number assigned to this NPI record is 05D0977867 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2012 and was last updated on 1/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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